How to Read the ALUNENA Dashboard
A plain-English walkthrough of every box, number, and color on the patient monitoring dashboard — so you know exactly what the engine is telling you at a glance.
What Is ALUNENA
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ALUNENA is a smart watcher for hospital patients. Your bedside monitors already beep when a number goes too high or too low — but by then, the patient is already in trouble. ALUNENA watches how fast the numbers are changing and tells you a patient is heading toward trouble before the beep goes off.
Technical
ALUNENA is a clinical decision support overlay that ingests existing bedside monitor and HL7 feed data in real time. It reads the trajectory of each vital sign — how far it has moved from the patient's personalized baseline, how fast it is changing, and the combined momentum — to flag deteriorating patients before the binary threshold alarm fires. It escalates directives from stable to observe to rapid response, giving the clinical team an early-warning window.
The Vital Signs
ALUNENA reads the same vital signs your bedside monitors already produce. No new hardware, no new data sources — just a new layer of analysis on existing feeds.
Beats per minute. Spikes (tachycardia) or drops (bradycardia) signal cardiovascular stress.
Unit: bpm
Systolic, diastolic, and MAP. Hemodynamic instability shows up here first.
Unit: mmHg
Oxygen saturation. A dropping SpO₂ is one of the earliest signs of respiratory compromise.
Unit: %
Breaths per minute. Changes in respiratory rate often precede other vital sign deteriorations.
Unit: /min
Core body temperature. Fever or hypothermia trajectories indicate infection or thermal dysregulation.
Unit: °C
Reading the Dashboard
The dashboard is organized into clear sections. Here's what each part tells you:
The Three Directives
STABLE
Green. The vital is within normal physiological parameters. No action needed. The patient's trajectory is flat — no threshold or circuit breaker numbers are shown because there's nothing to fix.
OBSERVE
Yellow. Elevated variability detected — the vital is drifting off baseline but hasn't crossed the critical threshold yet. Watch this patient more closely. Threshold and stabilization targets appear.
RAPID RESPONSE
Red. Critical trajectory detected — the patient is trending toward a clinical event. The engine issues a rapid response directive. Act now — the intervention window is now.
Metric Glossary
Reading
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What the bedside monitor is measuring right now — like the speedometer in your car.
Technical
The live vital sign value from the HL7 feed for this vital type (bpm, mmHg, %, °C).
Baseline
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What the number should be for this patient — their personal 'normal.'
Technical
The patient's personalized normal range for this vital. The engine measures all deviation against this.
Deviation
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How far off the reading is from the patient's normal, shown as a percentage. 0% = perfect.
Technical
The percentage difference between the current reading and the patient's baseline. The primary signal the engine watches.
Intervention Index
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A danger score. Higher = more risk. It goes up when the reading is both off-baseline and changing fast.
Technical
The combined index that rises when the magnitude of the reading and its deviation from baseline intersect.
Velocity
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How fast the vital is changing between readings. A sudden jump means trouble is accelerating.
Technical
The rate of change of the vital value relative to the previous reading. This is the early-warning signature.
Rapidity
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A speed score compared to the baseline. If it hits 1.0 or higher, the vital is going vertical — act fast.
Technical
Normalized variability (velocity relative to baseline). At or above 1.0 indicates a near-vertical trajectory toward a critical event.
Threshold
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The danger line. Once your reading crosses this number, the engine turns yellow or red.
Technical
The action-threshold vital level. Crossing it triggers the observe or rapid response directive.
Stabilize
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The target number to get the vital back to so the box turns green again.
Technical
The stabilization target — the vital level the clinical team should aim for to return the patient to nominal.
Circuit Breaker
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The 'oh no' number. If the reading hits this, it's a full clinical emergency.
Technical
The hard critical-threshold level. Reaching it implies a catastrophic physiological event requiring immediate intervention.
The Trajectory Graph
The Vital Signs Timeline chart shows the patient's trend over the last 60 readings. Here's how to read it:
- ● The solid cyan line is the vital value over time.
- ┄ The white dashed line is the baseline — the patient's "normal." A healthy line stays near it.
When the solid line drifts away from the baseline, the engine is watching a trajectory form. That visual drift — before the line reaches the alarm threshold — is exactly what ALUNENA detects. The trajectory is the early warning.
Classification Rules
Every reading is classified by exactly one rule — this is your audit trail. Each directive is traceable to a specific classification.
Clinician Workflow
When multiple alerts fire across different beds or units simultaneously, the dashboard prioritizes for you:
Sort by Rapidity
Alerts with the highest rapidity (at or above 1.0) are the most critical — the trajectory is near-vertical. Address those patients first.
Check the Circuit Breaker
If the reading is approaching the circuit breaker level, that patient is near a catastrophic event. Mobilize the rapid response team now.
Acknowledge or Dismiss
Once you've assessed the patient and taken action (or determined the alert is a false positive), acknowledge or dismiss the alert to clear it from the open list.
Refresh for New Readings
Click the Refresh button to pull the latest readings. New alerts from the ingest pipeline will appear in the Open Alerts list automatically.
Ready to see it in action?
Go back to the live dashboard and send a test reading to watch the engine escalate.
ALUNENA is a clinical decision support tool, not a diagnostic medical device. All directives are mathematical projections based on vital sign deviation and trajectory. Not a substitute for clinical judgment.